Eligible seniors can receive comprehensive benefits from Florida Medicaid, including physician visits, inpatient hospital stays, nursing home care, home health services, adult day health care and prescription medication coverage. Benefits may vary depending on an individual’s medical and functional needs, and those who qualify are enrolled in the statewide Managed Medical Assistance program, which administers services.
To qualify for Florida’s SSI-related Medicaid program, applicants must be legal state residents aged 65 and over and meet strict income requirements. Single applicants may not exceed $891 in monthly income, and married couples with both spouses applying must have a total monthly income of no more than $1,208. Seniors who already receive Supplemental Security Income or who are eligible but not yet receiving SSI automatically qualify for Medicaid. To apply for benefits, these individuals should work directly with the Social Security Administration.
Further information on the state’s Medicaid program is available through ACCESS Florida or by calling (866) 762-2237.
Florida’s Statewide Medicaid Managed Care Long-Term Care Program provides community services, in-home care and assisted living programs to Medicaid-eligible seniors in need of extended care. Benefits may include adult foster care and services such as home-delivered meals. Qualified individuals are professionally assessed and assigned a case manager who develops an individualized plan for the applicant, enabling an individual to receive appropriate care in the least restrictive environment possible.
Legal Florida residents who are over the age of 65 and Medicaid-eligible may apply for SMMC LTC. Disabled individuals under 64 may also apply, and applicants must require a nursing facility level of care. Income limits apply. For single applicants, combined income and assets must not exceed $2,313 per month, and the limit is $4,626 for couples.
The first step in the application process is an assessment, which seniors can schedule via the Elder Helpline at (800) 262-2243. Potential applicants should request a screening for home- and community-based services. The primary caregiver should have basic information available for the initial interview, including the applicant’s income and required care needs.